What is Telogen Effluvium?

Telogen effluvium (TE) is a type of non-scarring hair loss characterized by the shedding of hair in the telogen (resting) phase, an abnormality of the hair cycle.  This condition typically causes diffuse thinning of hair across the scalp rather than specific bald spots. It is a temporary form of hair loss and often resolves on its own.

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What Causes Telogen Effluvium?

Several factors can trigger telogen effluvium, including:

• Stress: Physical or emotional stress can push a large number of hair follicles into the telogen phase.

• Hormonal Changes: Events like childbirth, menopause, or thyroid imbalances can disrupt the normal hair growth cycle.

• Nutritional Deficiencies: Lack of essential nutrients such as iron, zinc, and vitamins may lead to hair shedding.

• Medications: Certain drugs, including those for blood pressure, depression, and chemotherapy, may cause hair loss.

• Medical Conditions: Illnesses, surgeries, and chronic conditions can also trigger telogen effluvium.

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Who is affected by Telogen Effluvium?

Telogen Effluvium affects both men and women with the age unclear. It is particularly common in women due to hormonal changes during the postpartum period, but various factors can contribute to Telogen Effluvium.  

 

What are the Symptoms of Telogen Effluvium?

The primary symptom of telogen effluvium is noticeable hair thinning, which usually becomes apparent a few months after the triggering event. Other symptoms include:

• Increased hair shedding, especially when washing or brushing hair.

• Thinning of hair across the entire scalp, rather than specific areas.

• Hair loss that occurs more diffusely than patchy hair loss.

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How Does Telogen Effluvium Progress?

Telogen effluvium typically begins abruptly and progresses rapidly:

• Initial Phase: Hair enters the telogen phase prematurely due to a triggering event.

• Shedding Phase: Significant hair shedding occurs, usually 2-3 months after the triggering event.

• Recovery Phase: Hair growth gradually resumes, and hair density improves over the next 6-12 months.

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How is Telogen Effluvium Diagnosed?

Diagnosis is usually based on medical history and clinical examination:

• History: Your doctor will review recent events, stressors, and medical conditions.

• Examination: A physical examination of the scalp and hair can help identify diffuse thinning.

• Pull Test: Gently pulling a small section of hair to see how many hairs come out can indicate shedding.

• Blood Tests: Tests may be done to rule out underlying conditions like thyroid problems or nutritional deficiencies.

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What are the Treatment Options for Telogen Effluvium?

Treatment focuses on addressing the underlying cause and supporting hair regrowth:

• Nutritional Support: Ensuring a balanced diet rich in essential nutrients like iron, zinc, and vitamins is beneficial for one’s overall health.  There is no vitamins or supplements that have been proven to regrow hair.

• Stress Management: Techniques such as meditation, exercise, and therapy can help manage stress.

• Medical Treatment: If a medical condition or medication is the cause, addressing these can improve symptoms.

• Topical Treatments: Minoxidil (Rogaine) may be recommended to stimulate hair growth with continued use to help sustain results. 

• Oral Treatments: oral minoxidil may be used in more advanced cases of Telogen Effluvium.  

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Coping with Telogen Effluvium and Alopecia Areata

While telogen effluvium is typically temporary, dealing with hair loss can be challenging. Here are some tips for coping:

• Stay Informed: Understanding your condition helps reduce anxiety and empowers you to make informed decisions.

• Support Groups: Connecting with others who are experiencing similar issues can provide emotional support.

• Hair Care: Be gentle with your hair, avoid harsh treatments, and use mild shampoos and conditioners.

• Professional Help: Consider consulting a dermatologist or a trichologist for specialized care and advice.

 

In Summary

 

Telogen effluvium is a temporary and may be a reversible form of hair loss often caused by stress or other triggering events. By understanding the causes, symptoms, and treatment options, you can manage the condition effectively and support your hair's healthy regrowth.

References:

S. Harrison, R. Sinclair, Telogen effluvium, Clinical and Experimental Dermatology, Volume 27, Issue 5, 1 July 2002, Pages 389–395, https://doi.org/10.1046/j.1365-2230.2002.01080.x

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Grover C, Khurana A. Telogen effluvium. Indian J Dermatol Venereol Leprol 2013;79:591-603

Liyanage D, Sinclair R. Telogen Effluvium. Cosmetics. 2016; 3(2):13. https://doi.org/10.3390/cosmetics3020013

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Disclaimer: The information provided in the Alopecia Frequently Asked Questions (FAQs) section is intended for general informational purposes only and should not be construed as medical advice. While we strive to offer accurate and up-to-date content, the FAQs are not a substitute for professional diagnosis, treatment, or advice from qualified healthcare providers. Individual experiences with alopecia may vary, and it is important to consult with a healthcare professional for personalized medical guidance. We do not endorse any specific treatments, products, or services mentioned in the FAQs. Reliance on any information provided in this section is solely at your own risk.